Provider Demographics
NPI:1902170871
Name:REEVES BUTLER, LEAH M (PHD, MAC, LAC)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:M
Last Name:REEVES BUTLER
Suffix:
Gender:F
Credentials:PHD, MAC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 9TH ST N
Mailing Address - Street 2:#1904
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1956
Mailing Address - Country:US
Mailing Address - Phone:703-945-5750
Mailing Address - Fax:888-272-7352
Practice Address - Street 1:8830 CAMERON ST
Practice Address - Street 2:SUITE 501
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4114
Practice Address - Country:US
Practice Address - Phone:202-630-5324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-24
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01954171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist